1980, 08-21 Permit: M80-8032 InspectINSPECTION RECORD
OWNER LO
CONTRACTOR TYPE OF WORK
N S E W FINAL INSPECTION:
SET BACKS
DATE REMARKS:
I - zt -S�o
"^" " APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH Sit JEFFERSON / SPOKANE, WASHINGTON 99290 / 16091 46&0876
-APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
ADoaEm LEGAL DESCRIPTION - SEE ATTACHED
RCEL NUMBERS
7
Dema wronE
d 1--457 D iCKs..
4. NE i 535-1711
ADDRESS ZIP
N- /Q-1 HWC15MA 99.1oa
DESIONER PHONE
6' ADDRESS ZIP
7.
TVP! N.l.W ALT. ❑ AD -N. ❑RPL. ❑ M
OTHER
POOL _. CERTIFICATE
ERT_ IFICATE ___... _a.
...H. Oe0 OP -11. —CH. ❑ ❑ em
_
EXEMPTION 9
DESCRIBE W0 N It .Dat. L-- (Aru1
a FEES COLLECTED
SOV111/t1rC[ [L[CT RIC WATIR a WER OwMrshlp W[ COO[
UTILITI[E Walla �Rlvate D Blnpa
I hereby artily that I have read and e¢¢Inihad IN, nppilcalinl` J ---I h.—, -11ed tlm'IN11I111 wOV c-, HWIud9d
on raveaa alder end know the eama to be true and cl ract All n-'`�-en11H nl IBWt e"`I 11Cea m"Ing this Bullalnp
type of work will he complied with Whether Po llerll1191x11- hn pranting u I dpea not III--
To
II— nto give authority to violate or cancel the pr—lion tit env Ott eteln --I IUCSI law -e,ed' 1 ---I n0nel ruCimn Or the
performance of cools—tion. Ill REVERSE SIDE FOR REUUIRED INSPECTIONS Pmmmnp
DATE OF APPLICATION ___L3 d' — mt.NAlllln-n ANT —
SPECIAL APPROVALa SPECIAL CONDITIONS:
DATE Plan Check
SEPA
• Mpblle Home
1.. Ena 11111 Other ISpecIlvl
--i11 ier 9 TOTAL $��
PERmITN_9Ea 32
04+ •7.00
+7.00 k
+7008
F •000 8
8031Y
OH -01-80
6479.
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